Foreword by Prof. Detlef Heidemann, DDS, Frankfurt, Germany 6 Foreword by Prof. Daniel Edelhoff, DDS, Munich, Germany 7

Size: px
Start display at page:

Download "Foreword by Prof. Detlef Heidemann, DDS, Frankfurt, Germany 6 Foreword by Prof. Daniel Edelhoff, DDS, Munich, Germany 7"

Transcription

1 CONTENTS contents Foreword by Prof. Detlef Heidemann, DDS, Frankfurt, Germany 6 Foreword by Prof. Daniel Edelhoff, DDS, Munich, Germany 7 1 SHAPE PERCEPTION STRUCTURE 1.1 The contours of shape Aspects of shape Texture and surface Surface structures 41 2 COLOR PERCEPTION 2.1 Analyzing features of color and structure Imaging using a mockup: The prospective variant Patient consultation: Visualization and confidence building 60 3 CREATIVE TOOLS 3.1 Instrumentarium and working materials Many parts make up the whole: Post-traumatic patchworking of an anterior tooth 67 4 METHODOLOGY FOR AESTHETIC REPAIR: SHADING AND LAYERING CONCEPTS 4.1 Methodology: Logical layering after dental structural analysis using digital image processing The two-color concept: Minimalism and performance The two-color concept: Opacity and transparency Systematics: Guidelines for recreating incisal color effects and morphology Incisal buildup: Step-by-step The incisal edge: A systematic reconstruction of morphology and function 94 5 COMPOSITE RESTORATIONS BY CLASSIFICATION 5.1 Cervical anterior crown restorations: Classification of the layering scheme according to chromatic aspects Wedge-shaped defects Multiple cervical lesions on anterior crowns Material composition with true-to-nature aestetics using flow materials Proximal anterior restorations Challenging proximal surfaces: Reconstruction of maxillary and mandibular anteriors Reconstructing proximal areas with opalescence Incisal anterior restorations Unilateral abrasion on the central incisor Aesthetic restoration of a fractured anterior tooth Personalizing incisal edges with opalescence 142 4

2 6 AESTHETIC REHABILITATION 6.1 Harmonizing a diastema and the vertical gingival height: Restorative widening of the emergence profile Diastemata: Restorative space closure Discoloration, retroinclination and devitality in the aesthetic zone Direct composite veneers for harmonizing the anterior dentition Veneers for aesthetic rehabilitation of tooth deformities An aesthetic alternative method for correcting moderately malpositioned teeth Designing natural anterior proportions Additional uses for composites: Residual substance, material properties and adhesion COMPOSITES AND FUNCTION Aesthetic and functional composite restorations THE PRACTICAL CONCLUSION A complicated, but inspiring patient case 250 Bibliographic and photographic references 263 NOTES TO THE READER Method of tooth notation The teeth described in this book have been numbered according to the two-digit system of tooth designation recommended by the World Dental Federation (Fédération Dentaire Internationale or FDI for short). 1 Used throughout the world, the FDI method makes visual, cognitive and computer sense. 2 According to the FDI two-digit tooth numbering system, the patient s mouth is divided into quadrants numbered from 1 to 4, clockwise, starting from the upper-right. The teeth are numbered from 1 to 8, going from the central incisor to the third molar. For example, in this book, the two maxillary central incisors are referred to as tooth 11 and tooth 21, respectively Peck S, Peck L. J Dent Educ. 1993; 57(8): List of manufacturers As a practical reference for readers and for better product accessibility, the product name, manufacturer's name and city are indicated in parentheses immediately following the term for products mentioned in the main text. 5

3 5.3 INCISAL ANTERIOR RESTORATIONS UNILATERAL ABRASION ON THE CENTRAL INCISOR 5 composite restorations This young woman was bothered by the distal incisal edge fracture of her tooth 21. Figures 141 to 158 illustrate how the disto-incisal edge of tooth 21 was built up. The shaping will then be critically evaluated taking morphological considerations into account Fig. 141 Fig. 142 Fig. 143 The distal incisal edge of tooth 21 of this patient was fractured and showed slight wear. The woman patient had always been bothered by the asymmetrical curve line of her incisal edges. However, after having heard about minimally invasive options, she decided at this point in time to have her substance defect restored. Compared to the laugh line, the missing distal corner of the incisal edge produced a discordant contour there. Analysis of the contours of the anterior teeth revealed a distally ascending curve of the incisal edges of the anterior tooth zones. However, this impression was created only because of the missing distoincisal edge. Although the loss of substance was relatively minor, the defect obviously produced a discordant relationship between tooth width and tooth length. This fact underscored the impact and functionality of the human perception. Any deviation in proportions of the teeth among each other is perceived as discordant, if not even distracting. Thus, it was understandable that, despite this apparently minor substance loss, the woman's aesthetic sensitivity was bothered enough by this defect to convince her to have it restored by a dentist. 134

4 Fig. 144 Fig. 145 Fig. 146 Fig. 147 On tooth 21, a provisional and diagnostic mockup was fabricated and tried in (see Chapter 3.2) under functional considerations. Next, a silicone impression was taken of the anterior teeth. The mockup was removed after the silicone material had hardened. As a control, the silicone matrix was pressed palatally onto the dental arch. The incisal edge area to be built up on tooth 21 was clearly visible. The tooth surface of tooth 21 was conditioned with etching gel (UltraEtch, Ultradent) and then bonded (OptiBond FL, KerrHawe). To isolate tooth 21, the adjacent tooth was covered with Teflon tape (the tape turned transparent from wetting with primer and bonder). A thin layer of transparent composite, shade T1 (Venus, Heraeus Kulzer) was placed in the silicone matrix, and pressed palatally onto the tooth with increasing pressure. Then, the composite was light-cured Fig. 148 Fig. 149 Fig. 150 Fig. 151 The hardened palatal shield comprised a delicate, primary and stable wall. The first layering component was an opaque dentin material A2 (Venus, Heraeus Kulzer) applied like mamelons (dentin tubules) on the shield. An enamel material with the shade Enamel A2 (Venus, Heraeus Kulzer) was layered over the dentin layer. A final layer of a translucent, cloudy effect material T2 (Venus, Heraeus Kulzer) was applied to mimic the brightness level of the natural tooth. 135

5 5 composite restorations Fig. 152 Fig. 153 Fig. 154 After the incisal edge of tooth 21 was finished and polished, its shade corresponded almost perfectly to the distal edge of tooth 11. A virtually invisible reconstruction was achieved. Even in the lateral view, it was obvious that the structures of the distal portion of the incisal edge descending into proximal area had been reconstructed realistically. When its interplay with the neighboring teeth was viewed from a greater distance, the restoration merged harmoniously into the arch. The proportions of the contour elements were concordant. With minimal therapeutic measures such as replacing a small portion of the disto-incisal edge, the initially uneven looking curve of the incisal edges in the maxilla was compensated to perfection. 136

6 Fig. 155 To check the quality and extent of the reconstructed, shape-determinant portions of tooth 21, ellipsoids were projected onto the tooth surface (see Chapter 2.1). This allowed comparison of the incisal edges of 11 and 21 with each other. Analysis of the blue geometrical figures revealed that the contours of the distal incisal edge of tooth 21 largely mirrored those of adjacent tooth 11. The oblique, ellipsoid form perfectly traced the curve of the disto-incisal edge of tooth 11, although a minor deviation was evident on tooth 21 (see arrow). Apparently, there was a little excess restoration left. Fig. 156 Under magnification, the excess portion of the restoration appeared slightly too large, but was not noticeable in the original size. Therefore, it was left as it was. Fig. 157 Close-up, the distinctive central incisors look virtually identical in terms of their shape. The shades of teeth 11 and 21 blended seamlessly into their surroundings. In this sense, the goal of "Restitutio ad integrum" was certainly accomplished everything was restored to its proper state! Fig. 158 The delighted woman directly after the treatment was concluded. Her harmonious lip and laugh line were successfully reconstructed. The asymmetry deriving from tooth 21 was eliminated and this attractive woman's little beauty flaw had disappeared. SUMMARY If the criteria for an anatomically correct shaping and contouring are met, small chromatic differences in layering will go unnoticed and will not detract from the overall quality of a restoration. In such a restoration, even the most critical observer will not notice the chromatic deviations at normal speaking distance. By contrast, an asymmetrical, obviously discordant appearing silhouette will always be perceived. 137

7 5.3.2 AESTHETIC RESTORATION OF A FRACTURED ANTERIOR TOOTH 5 composite restorations When reconstructing lost enamel and dentin, consideration must be given to morphological, functional and aesthetic aspects. If the contours and morphology of a tooth have been reconstructed according to an anatomical model, natural reflections are generated from areas on the tooth surface. Their harmonious lines testify to a suc Fig. 159 At the age of 19, the patient had sustained trauma to tooth 11 in a cycling accident. The fracture of the incisal edge had been restored with a veneer several years earlier. The patient felt that this reconstruction looked distracting and unattractive. Fig. 160 To better illustrated the challenge posed by the contours to be reconstructed according to the tooth's natural morpho - logy, the reflective areas of the definitive treatment outcome were highlighted using silver colored boxes. Fig. 161 Close-up of the inadequate filling on tooth 11. Discolored stains had built up at the interface between filling and tooth surface. The form, hue and chroma of this restoration were aesthetically unsatisfactory. Fig. 162 As part of the surface analysis, the anterior teeth were coated with silver powder to highlight the light reflection areas more intensely. The way the filling was built up did not correspond to the shape of the natural tooth surfaces and therefore looked out of place. Fig. 163 The palatal contour elements were supplemented to meet the anatomical prerequisites and the incisal region extended using a mockup. An impression of this buildup was taken with silicone to obtain a structural matrix of the desired form of the restoration to guide further treatment. Fig. 164 The old filling was removed, the margins of the cavity re-beveled and Teflon tape was wrapped around adjacent tooth 12 to isolate and protect it during the further conditioning process. 138

8 cessful, natural reconstruction. If the contours and morphology have been accurately incorporated into the tooth shape, the minute deviations in shade will not detract from a successful result. Figures 159 to 178 depict the treatment steps used for the aesthetic repair of an incisal edge on a patient who fractured it in a cycling accident [42] Fig. 165 Fig. 166 Fig. 167 Fig. 168 Fig. 169 Fig. 170 Etching gel (UltraEtch, Ultradent) was applied to tooth 11 and, after 15 to 20 seconds, rinsed off with water according to the manufacturer's instructions. A rough surface ( frozen surface ) was created at the etched areas of the preparation. After the surface of tooth 11 was bonded (OptiBond FL, KerrHawe) and the Teflon tape removed from the adjacent tooth, an opaque composite (Dentin A3 Venus, Heraeus Kulzer) was placed in the silicone matrix and pressed against the teeth from the palatal. Layering was extended up to the contact point of tooth 12, although the composite would not permanently bond with the surface of tooth 12 because it was not pre-conditioned. After removing the silicone matrix, a stable wall was available onto which the further layering components were applied. The next layer applied was a dentin material in the shade Dentin A 2 (Venus, Heraeus Kulzer). At this stage, the form was already being shaped, particularly towards the contact point of tooth 12 and the incisal edge. The layer after this consisted of the Enamel shade A2 (Venus, Heraeus Kulzer) which possessed a markedly high transparency. The labial form was not finalized yet in order leave enough room to apply the next layer for the color adaptation. 139

9 5 composite restorations Fig. 171 Fig. 172 Fig. 173 Fig. 174 Fig. 175 Fig. 176 The bright, milky effect material T1 (Venus, Heraeus Kulzer) in the final layer was used to mirror the disto-incisal brightening of tooth 21 onto tooth 11. According to the familiar procedure for a true-to-form finish, the tooth surfaces were coated once again with silver powder to check the result. The reflectance fields on the labial surfaces of the teeth were made prominent and conveyed an overall harmonious, pleasing impression. The filling contour of tooth 11 corresponded to the natural curvature of the labial surface and fit in with the overall symmetry. After the powder was removed and the surface polished to a high gloss, the light reflections were easily identifiable. They very strongly replicated the reflections off the adjacent tooth. Another photographic technique was used to judge how the colors were integrated. The flash was pointed at the tooth from another direction. This reduced the surface reflexes, allowing the color of the filling to be better scrutinized. Yet another perspective. Here, the marginal ridge was very easy to identify. It followed the distal contour of the tooth towards the proximal area and reflected the round design of the form. Further documentation of the reflectance fields on the labial surface, clearly proving that the objective to reconstruct a symmetrically aligned and anatomically defined natural surface texture of the filling had been accomplished. 140

10 Fig. 177 Fig. 178 Finally, the facial view of the restoration was reviewed. Silver powder clearly brought out all the reflected heights of contour and surfaces. The distal belly of tooth 11, shaped to create the proximal contact, was tapered into the incisal edge to open up the incisal triangle between teeth 11 and 12. This gave the tooth a very natural-looking tapered incisal region. The graphics projected onto the tooth surface provided information about the disto-incisal edge (blue) arranged as a mirror image. The transition to the filling was labeled with a white line. The incisal triangle was colored blue. The white stripes (labeled with blue lines on the graphic) depicted the spine formed by the labial surface and the surface elements descending into interproximal space. At the same time, they delineated the vertical reflectance fields. The transparent bluish ellipses were aimed to demarcate the disto-incisal zone. 141

How to build up the perfect tooth

How to build up the perfect tooth Clinical How to build up the perfect tooth Ulf Krueger-Janson 1 The natural appearance of a tooth can be successfully reconstructed with a composite resin that is based on an integrated shade and layering

More information

Smile design with composites: A case study

Smile design with composites: A case study Clinical Smile design with composites: A case study Eduardo Mahn 1 and Christian Coachman 2 Adhesive dentistry has improved dramatically over the last decade. Not only are adhesives more reliable and easier

More information

Patient demand for esthetic dentistry

Patient demand for esthetic dentistry PROFILE Masters of Esthetic Dentistry Keys to Success in Creating Esthetic Class IV Restorations Robert C. Margeas, DDS Current occupation Private Practice Adjunct Professor, Department of Operative Dentistry,

More information

5Recommended Shade-Matching Protocol

5Recommended Shade-Matching Protocol 5Recommended Shade-Matching Protocol In this chapter: Seven steps to a successful shade match 5 Recommended Shade-Matching Protocol Figs 5-1 and 5-2 Conventional methods of shade selection, when used alone,

More information

Aesthetic layering principle for beautiful anterior restorations

Aesthetic layering principle for beautiful anterior restorations 3M SM Health Care Academy Aesthetic layering principle for beautiful anterior restorations Nils van Calcar, Amsterdam, the Netherlands It is not always easy to obtain aesthetic, natural-looking restorations

More information

ADHESIVE RECONSTRUCTION IN HELP OF THE ORTHODONTIC TREATMENT

ADHESIVE RECONSTRUCTION IN HELP OF THE ORTHODONTIC TREATMENT ISSN: 1312-773X (Online) Journal of IMAB - Annual Proceeding (Scientific Papers) 2006, vol. 12, issue 2 ADHESIVE RECONSTRUCTION IN HELP OF THE ORTHODONTIC TREATMENT Snezhanka Topalova-Pirinska 1, R. Pirinska

More information

Introduction to Layering with Filtek Supreme Plus Universal Restorative. Filtek. Supreme Plus Universal Restorative

Introduction to Layering with Filtek Supreme Plus Universal Restorative. Filtek. Supreme Plus Universal Restorative Introduction to Layering with Filtek Supreme Plus Universal Restorative Filtek Supreme Plus Universal Restorative Introduction to Layering with Filtek Supreme Plus Universal Restorative TM. Multishade

More information

SCD Case Study. Background

SCD Case Study. Background SCD Case Study Background A female aged over 70 presented with an unremarkable medical history seeking a comprehensive examination as the last dental examination was over four years ago. The patient is

More information

Anterior Esthetic Techniques & Materials

Anterior Esthetic Techniques & Materials Anterior Esthetic Techniques & Materials Lee Ann Brady DMD www.pinterest.com Lee Ann Brady www.leeannbrady.com www.restorativenation.com Planning Information Tooth Position Arrangement Contour Color Material

More information

CLINICAL GUIDE CLINICAL GUIDE. by DR. NOBORU TAKAHASHI BY DR. NOBORU TAKAHASHI

CLINICAL GUIDE CLINICAL GUIDE. by DR. NOBORU TAKAHASHI BY DR. NOBORU TAKAHASHI CLINICAL GUIDE by DR. NOBORU TAKAHASHI CLINICAL GUIDE BY DR. NOBORU TAKAHASHI Introduction Easy ESTELITE ASTERIA is developed to realize simplifi ed 2 step layering composite restorations as well as outstanding

More information

Simple. Esthetic. Efficient. Available exclusively from:

Simple. Esthetic. Efficient. Available exclusively from: Simple. Esthetic. Efficient. Available exclusively from: Beautiful Direct Composite Veneers Made Simple! The Uveneer direct composite template system was created by Australian-based dentist Dr. Sigal

More information

Fundamental & Preventive Curvatures of Teeth and Tooth Development. Lecture Three Chapter 15 Continued; Chapter 6 (parts) Dr. Margaret L.

Fundamental & Preventive Curvatures of Teeth and Tooth Development. Lecture Three Chapter 15 Continued; Chapter 6 (parts) Dr. Margaret L. Fundamental & Preventive Curvatures of Teeth and Tooth Development Lecture Three Chapter 15 Continued; Chapter 6 (parts) Dr. Margaret L. Dennis Proximal contact areas Contact areas are on the mesial and

More information

THE CLASSIC COMPOSITE FOR EXQUISITE ESTHETICS

THE CLASSIC COMPOSITE FOR EXQUISITE ESTHETICS THE CLASSIC COMPOSITE FOR EXQUISITE ESTHETICS Final Layer Option For a single layer, place approximately 0.5mm of Pearl Frost (PF) or Pearl Neutral (PN) to enhance the restoration and allow the underlying

More information

Ceramic Based Aesthetic CAD/CAM Restorative

Ceramic Based Aesthetic CAD/CAM Restorative Ceramic Based Aesthetic CAD/CAM Restorative Create Natural Aesthetics with High-Strength Materials SHOFU Block HC and Disk HC are the latest generation of hybrid-ceramic restorative materials for use with

More information

COURSE CURRICULUM FOR AESTHETIC DENTISTRY

COURSE CURRICULUM FOR AESTHETIC DENTISTRY COURSE CURRICULUM FOR AESTHETIC DENTISTRY Esthetic Dentistry is actually the fourth dimension in clinical dentistry. In addition to biologic, Physiologic, and mechanical factors, all of which must be understood

More information

For many years, patients with

For many years, patients with Dr. Robert Lowe is one of the great teachers in dentistry. Recently, he received the Gordon J. Christensen Award from the Chicago Dental Society in recognition of his excellence in teaching. Some of my

More information

Draft 11/14/08. by Luke S. Kahng, CDT. Un d e r s ta n d i n g Zirconia Ba c k g r o u n d s. In t r o d u c t i o n. Naperville, IL

Draft 11/14/08. by Luke S. Kahng, CDT. Un d e r s ta n d i n g Zirconia Ba c k g r o u n d s. In t r o d u c t i o n. Naperville, IL Un d e r s ta n d i n g Zirconia Ba c k g r o u n d s for Custom Shade Matching by Luke S. Kahng, CDT Naperville, IL www.lsk121.com In t r o d u c t i o n Before beginning a case requiring the fabrication

More information

OUR EXPERIENCE WITH GRADIA DIRECT IN THE RESTORATION OF ANTERIOR TEETH

OUR EXPERIENCE WITH GRADIA DIRECT IN THE RESTORATION OF ANTERIOR TEETH ISSN: 1312-773X (Online) Journal of IMAB - Annual Proceeding (Scientific Papers) 2006, vol. 12, issue 2 OUR EXPERIENCE WITH GRADIA DIRECT IN THE RESTORATION OF ANTERIOR TEETH Snezhanka Topalova-Pirinska,

More information

Lect. 3 operative Dr. Ameer AL-Ameedee

Lect. 3 operative Dr. Ameer AL-Ameedee Lect. 3 operative Dr. Ameer AL-Ameedee Direct composite restorations from Esthetic view: Modern resin materials have opened a huge door of opportunity for both dentists and patients by offering an esthetic

More information

Advancing the Art of Freehand Cosmetic Contouring

Advancing the Art of Freehand Cosmetic Contouring Advancing the Art of Freehand Cosmetic Goldfogel Instruments Goldfogel XTS Instruments Goldfogel Anterior Instruments Created by Dr. Michael Goldfogel, the XTS Instruments represent an important step forward

More information

Creating deluxe aesthetics with direct, layered composite resin veneers

Creating deluxe aesthetics with direct, layered composite resin veneers Creating deluxe aesthetics with direct, layered composite resin veneers Case Study 3 Dr Clarence Tam, HBSc, DDS (Canada) Chairperson, New Zealand Academy of Cosmetic Dentistry Treatment list (FDI classification)

More information

Selection and arrangement of teeth in rpd

Selection and arrangement of teeth in rpd Selection and arrangement of teeth in rpd upon completion of the articulator mounting and a thorough assessment of the occlusal requirements, the practitioner should be able to perform the proper arrangement

More information

Celtra, Cercon, Celtra Ceram, Universal Stain and Glaze. All-ceramic solutions for every need. Brochure for the dental laboratory

Celtra, Cercon, Celtra Ceram, Universal Stain and Glaze. All-ceramic solutions for every need. Brochure for the dental laboratory Celtra, Cercon, Celtra Ceram, Universal Stain and Glaze All-ceramic solutions for every need Brochure for the dental laboratory Content Celtra Ceram High esthetic veneering 4 Celtra Press Monolithic stained

More information

A conservative restorative smile makeover

A conservative restorative smile makeover C L I N I C A L A conservative restorative smile makeover Aneta Grzesinska 1 Introduction The patient was a 37-year-old female who presented to the practice requesting six porcelain veneers for her upper

More information

Preparation and making fillings Class V., III., IV.

Preparation and making fillings Class V., III., IV. Preparation and making fillings Class V., III., IV. Class V. Cervical defects - Dental caries - Non carious lesions (erosion, abrasion, V shaped defects) Types of defects Caries Erosion Abrasion V shaped

More information

Essentials of. Dental Assisting. Edition 6. Debbie S. Robinson Doni L. Bird

Essentials of. Dental Assisting. Edition 6. Debbie S. Robinson Doni L. Bird Essentials of Dental Assisting Edition 6 Debbie S. Robinson Doni L. Bird CHAPTER21 Restorative Procedures http://evolve.elsevier.com/robinson/essentials/ LEARNING OBJECTIVES KEY TERMS 1. Pronounce, define,

More information

Filtek LS Low Shrink Posterior Restorative System Case 1: Cusp build-up

Filtek LS Low Shrink Posterior Restorative System Case 1: Cusp build-up Case 1 This case study focuses on the restoration of an upper molar. Filtek LS Low Shrink Posterior Restorative System Case 1: Cusp build-up The existing, inadequate restoration led to the development

More information

Direct restoration in the aesthetic zone - a case study

Direct restoration in the aesthetic zone - a case study C L I N I C A L Direct restoration in the aesthetic zone - a case study Neil Gerrard 1 The patient, a 27-year-old female in good health, presented to the practice requesting improvement of her smile. She

More information

Complex esthetic and functional rehabilitation using glass-ceramic materials - long-term documentation of a restoration

Complex esthetic and functional rehabilitation using glass-ceramic materials - long-term documentation of a restoration C L I N I C A L Complex esthetic and functional rehabilitation using glass-ceramic materials - long-term documentation of a restoration Daniel Edelhoff 1 and Oliver Brix 2 1 Prof. Dr Daniel Edelhoff, Munich

More information

Predictable Real World Aesthetics. The Key to Success with Natural Restorations

Predictable Real World Aesthetics. The Key to Success with Natural Restorations The Insiders Guide to Quality Dentistry Predictable Real World Aesthetics The Key to Success with Natural Restorations ISUS CAD/CAM Implant Supra-Structures: Accuracy, durability and precision Conscious

More information

Shadeguides Ceramic Veneers: Tooth Preparation for Enamel Preservation

Shadeguides Ceramic Veneers: Tooth Preparation for Enamel Preservation Ajay Juneja Shadeguides Ceramic Veneers: Tooth Preparation for Enamel Preservation 1 Feb 2016 The rationale of having minimal preparation and having ceramic veneers cemented to enamel in order for the

More information

Empress *CAD IPS. Confidence. Reliability. Aesthetics. The world s leading all-ceramic

Empress *CAD IPS. Confidence. Reliability. Aesthetics. The world s leading all-ceramic Empress CAD for the CAD/CAM Technology Information for Dentists Confidence Reliability Aesthetics IPS Empress *CAD * The world s leading all-ceramic Empress System A time-tested system. with new possibilities

More information

Management of Inadequate Margins and Gingival Recession Presenting as Tooth Sensitivity

Management of Inadequate Margins and Gingival Recession Presenting as Tooth Sensitivity Management of Inadequate Margins and Gingival Recession Presenting as Tooth Sensitivity Nicolas Elian, DDS Private Practice Englewood Cliffs, New Jersey David Geon U Kim, DDS, MS Faculty and Research Coordinator

More information

2. Gap closure and replacement of the missing tooth 35 with directly modelled bridge region 34-36

2. Gap closure and replacement of the missing tooth 35 with directly modelled bridge region 34-36 GrandTEC Test Kit Dear User, This Test Kit has been put together to enable you to test GrandTEC on the model before using it in a clinical situation. GrandTEC is a resin-impregnated glass fibre strip.

More information

Empress Esthetic Special Edition

Empress Esthetic Special Edition IPS Empress Esthetic Special Edition MATT ROBERTS INTRODUCTION The IPS Empress pressable ceramic material has been used by ceramists to provide patients with very esthetic indirect restorations for more

More information

Clinical report. Drs Paul and Alexandre MIARA and F. CONNOLLY COMPOSITE POSTERIOR FILLINGS. How to control. layering? 8 - Dentoscope n 124

Clinical report. Drs Paul and Alexandre MIARA and F. CONNOLLY COMPOSITE POSTERIOR FILLINGS. How to control. layering? 8 - Dentoscope n 124 COMPOSITE POSTERIOR FILLINGS How to control layering? 8 - Dentoscope n 124 CV FLASH Dr Paul MIARA Dental surgeon Dr Alexandre MIARA Dental surgeon Dr F. CONNOLLY Dental surgeon Thanks to continuous improvements

More information

values is of great interest.

values is of great interest. User Report Dr. Ralph Schönemann, May 21, 2008 There are numerous self-etchbonding systems on the market that sometimes differ very much from one another with regards to their chemical composition. It

More information

Perfect provisional restorations

Perfect provisional restorations C A S E R E P O R T Perfect provisional restorations Irfêo Saraiva de Camargo 1 This article presents a case demonstrating that using modern temporary crown and bridge materials facilitates the fabrication

More information

MULTI-SHADE NANO COMPOSITE. Artificial reality

MULTI-SHADE NANO COMPOSITE. Artificial reality MULTI-SHADE NANO COMPOSITE Artificial reality MIRIS is aesthetic, simple and predictable. 2 Prerequisite for a perfect end result The idea behind MIRIS2 is to enable tooth reconstruction with two basic

More information

A clinical case involving severe erosion of the maxillary anterior teeth restored with direct composite resin restorations

A clinical case involving severe erosion of the maxillary anterior teeth restored with direct composite resin restorations SETHI A clinical case involving severe erosion of the maxillary anterior teeth restored with direct composite resin restorations Sanjay Sethi, BDS (Lond.) Square Mile Dental Centre, 7-9 White Kennett Street,

More information

GC GRADIA DIRECT. Light - Cured Composite Restorative. One -shade simplicity and aesthetic invisibility

GC GRADIA DIRECT. Light - Cured Composite Restorative. One -shade simplicity and aesthetic invisibility Light - Cured Composite Restorative One -shade simplicity and aesthetic invisibility Around 95% of direct restoration procedures use only one shade of restorative, mainly as its faster and easier, so minimising

More information

Restoration of teeth using lithium disilicate glass-ceramics in a patient with Dentinogenesis Imperfecta

Restoration of teeth using lithium disilicate glass-ceramics in a patient with Dentinogenesis Imperfecta Clinical Restoration of teeth using lithium disilicate glass-ceramics in a patient with Dentinogenesis Imperfecta Daniel Edelhoff 1, Oliver Brix 2 and Josef Schweiger 1 Introduction The availability of

More information

Art of Smile. Cosmetic Dentistry. Youngman Dental Clinic Dr. Terry Youngman 3400 E. McDowell Rd. Phoenix, AZ (602)

Art of Smile. Cosmetic Dentistry. Youngman Dental Clinic Dr. Terry Youngman 3400 E. McDowell Rd. Phoenix, AZ (602) Art of Smile Cosmetic Dentistry Youngman Dental Clinic Dr. Terry Youngman 3400 E. McDowell Rd. Phoenix, AZ 85008 (602) 225-9090 Transform your life when you transform your smile! New techniques and products

More information

Direct composite restorations for large posterior cavities extended range of applications for high-performance materials

Direct composite restorations for large posterior cavities extended range of applications for high-performance materials Direct composite restorations for large posterior cavities extended range of applications for high-performance materials A case study by Ann-Christin Meier, Dr. med. dent., Stapelfeld, Germany When large

More information

Restoration of the worn dentition

Restoration of the worn dentition Clin Dent Rev (2017) 1:4 https://doi.org/10.1007/s41894-017-0003-3 TREATMENT Restoration of the worn dentition Paul King 1 Received: 16 March 2017 / Accepted: 31 May 2017 / Published online: 30 June 2017

More information

Midline diastema closure with direct-bonding restorations Author_ Dr Sushil Koirala, Nepal

Midline diastema closure with direct-bonding restorations Author_ Dr Sushil Koirala, Nepal I MICD _ diastema closure Midline diastema closure with direct-bonding restorations Author_ Dr Sushil Koirala, Nepal crowns incline distally because of the crowding of the roots. With the eruption of the

More information

Introduction to Layering with Filtek Supreme Plus Universal Restorative. Filtek. Supreme Plus Universal Restorative

Introduction to Layering with Filtek Supreme Plus Universal Restorative. Filtek. Supreme Plus Universal Restorative Introduction to Layering with Filtek Supreme Plus Universal Restorative Filtek Supreme Plus Universal Restorative Introduction to Layering with Filtek Supreme Plus Universal Restorative TM Introduction

More information

A clinical study to evaluate the correlation between maxillary central incisor tooth form and face form in an Indian population

A clinical study to evaluate the correlation between maxillary central incisor tooth form and face form in an Indian population 273 Journal of Oral Science, Vol. 54, No. 3, 273-278, 2012 Original A clinical study to evaluate the correlation between maxillary central incisor tooth form and face form in an Indian population Pavankumar

More information

6610 NE 181st Street, Suite #1, Kenmore, WA

6610 NE 181st Street, Suite #1, Kenmore, WA 660 NE 8st Street, Suite #, Kenmore, WA 9808 www.northshoredentalacademy.com.08.900 READ CHAPTER The Professional Dental Assistant (p.-9) No Key Terms Recall Questions:,,,, and 6 CLASS SYLLABUS DAY READ

More information

AdperTM FiltekTM EliparTMSof-LexTM

AdperTM FiltekTM EliparTMSof-LexTM AdperTM FiltekTM EliparTMSof-LexTM 3M ESPE Composite-Navigator An orientation aid for our composite filling therapy 3M ESPE Composite-Navigator To find the right Solution for your Requirement As one of

More information

A Step-by-Step Approach to

A Step-by-Step Approach to A Step-by-Step Approach to a Diastema Closure A Dual-Purpose Technique that Manages Black Triangles Marcos Vargas, DDS, MS Figure 1: Preoperative view of a patient who presented with a diastema between

More information

Amaris BeAuTy COmPOse it!

Amaris BeAuTy COmPOse it! Beauty Compose it! Natural elegance Two simple steps layers like in nature brilliant results Easy to learn For several decades dentists have used an industry standard designed to facilitate communication

More information

CPR for Complex Dental Treatment; From Concept, to Prototype, to Restoration

CPR for Complex Dental Treatment; From Concept, to Prototype, to Restoration Reality or Resin; Free Hand Artistry with Anterior Bonding Dennis B. Hartlieb, DDS CPR for Complex Dental Treatment; From Concept, to Prototype, to Restoration Wish List: 1. Reversible (no prep/ minimal

More information

BAR MODIFICATION FOR IMPROVING COMPOSITE-RESIN TO RIDGE DESIGN

BAR MODIFICATION FOR IMPROVING COMPOSITE-RESIN TO RIDGE DESIGN MasterClass Workshop BAR MODIFICATION FOR IMPROVING COMPOSITE-RESIN TO RIDGE DESIGN New prosthetic offerings including esthetic and functional solutions with complex restorations. Robert Kreyer, CDT Saj

More information

IPS Empress System Information for the. Laboratory. Confidence. Reliability. Esthetics. Empress IPS. System. The ultimate esthetic restorative system

IPS Empress System Information for the. Laboratory. Confidence. Reliability. Esthetics. Empress IPS. System. The ultimate esthetic restorative system IPS Empress System Information for the Laboratory Confidence Reliability Esthetics IPS Empress The ultimate esthetic restorative system System A time-tested system offers new possibilities For nearly 20

More information

Empress *CAD. Confidence. Reliability. Esthetics. IPS Empress CAD for the CAD/CAM Technology Information for Dentists

Empress *CAD. Confidence. Reliability. Esthetics. IPS Empress CAD for the CAD/CAM Technology Information for Dentists Empress CAD for the CAD/CAM Technology Information for Dentists Confidence Reliability Esthetics Empress *CAD * The ultimate esthetic restorative system Empress System A time-tested system. with new possibilities

More information

Learning and applying the Natural Layering Concept

Learning and applying the Natural Layering Concept I industry report _ natural layering concept Learning and applying the Natural Layering Concept Author_ Prof Didier Dietschi, Switzerland Right_Dentine samples of the Miris 2 system, developed according

More information

3M Restorative Solution Guide. Make your featuring. choice!

3M Restorative Solution Guide. Make your featuring. choice! Restorative Solution Guide Make your featuring choice! workflow precision impression restoration Feasible Simple Repeatable Success simplified Ultimate featuring Efficient composite Esthetic adhesive Economic

More information

Esthetic Rehabilitation of Severely Discolored Maxillary Anterior Teeth with Porcelain Laminate Veneers: A Case Report

Esthetic Rehabilitation of Severely Discolored Maxillary Anterior Teeth with Porcelain Laminate Veneers: A Case Report Esthetic Rehabilitation of Severely Discolored Maxillary Anterior Teeth with Porcelain Laminate Veneers: A Case Report Dr. Shikha Nandal 1, Dr. Himanshu Shekhawat 2 1 M.D.S. (Prosthodontics) Senior Resident,

More information

Lecture 2 Maxillary central incisor

Lecture 2 Maxillary central incisor Lecture 2 Maxillary central incisor Generally The deciduous tooth appears in the mouth at 3 18 months of age, with 6 months being the average and is replaced by the permanent tooth around 7 8 years of

More information

Minimally Invasive Porcelain Laminate Veneer Preparation Design

Minimally Invasive Porcelain Laminate Veneer Preparation Design October 2016 NEXT GENERATION Minimally Invasive Porcelain Laminate Veneer Preparation Design R O B E R T R. W I N T E R, D D S FACTORS Influencing Preparation Design This ebook focuses on tooth reduction

More information

Lingual Veneers, a conservative approach

Lingual Veneers, a conservative approach Ajay Juneja Lingual Veneers, a conservative approach 24 Sep 2016 It is known that bulimia nervosa can cause quite a rapid deterioration of tooth tissues. In severe cases, full-coverage crowns may be the

More information

SPECIAL REPRINT c Light and Shadow by Haristos Girinis, Nagold B 2129 E. Die ganze Welt der Zahntechnik.

SPECIAL REPRINT c Light and Shadow by Haristos Girinis, Nagold B 2129 E. Die ganze Welt der Zahntechnik. B 2129 E Die ganze Welt der Zahntechnik SPECIAL REPRINT c by Haristos Girinis, Nagold www.wieland-international.com WIELAND Dental +Technik GmbH & Co. KG Schwenninger Straße 13, 75179 Pforzheim, Germany

More information

TREATMENT PLANNING AND SMILE DESIGN USING COMPOSITE RESIN

TREATMENT PLANNING AND SMILE DESIGN USING COMPOSITE RESIN TREATMENT PLANNING AND SMILE DESIGN USING COMPOSITE RESIN Robert Marus, DDS* MARUS 18 4 MAY Recent advances in dental materials and adhesive protocols have expanded the restorative procedures available

More information

Direct Composite Veneer Innovative and amazingly easy restoration of anterior teeth

Direct Composite Veneer Innovative and amazingly easy restoration of anterior teeth Direct Composite Veneer Innovative and amazingly easy restoration of anterior teeth The New Direct Composite Veneering System. For innovative and amazingly easy restoration of anterior teeth COMPONEER

More information

Minimally invasive veneers

Minimally invasive veneers C L I N I C A L Minimally invasive veneers Galip Gürel 1 The demand for aesthetic dentistry is increasing as more and more patients come to desire the perfect smile. Treatment planning, in advance, is

More information

PROVISIONAL SPINTING AND ITS ESTHETICS. Istvan Gera

PROVISIONAL SPINTING AND ITS ESTHETICS. Istvan Gera PROVISIONAL SPINTING AND ITS ESTHETICS Istvan Gera The periodontitis weakens the periodontal attachment After eliminating inflammation the remaining 50-60% of the periodontal attachment can provide enough

More information

Empress * CAD IPS. Confidence. Reliability. Esthetics. IPS Empress CAD for the CAD/CAM Technology Information for Dentists

Empress * CAD IPS. Confidence. Reliability. Esthetics. IPS Empress CAD for the CAD/CAM Technology Information for Dentists Empress CAD for the CAD/CAM Technology Information for Dentists Confidence Reliability Esthetics Empress * CAD * The ultimate esthetic restorative system Empress System A time-tested system. with new possibilities

More information

MINIMAL INTERVENTION DENTISTRY THE PENN COMPOSITE STENT

MINIMAL INTERVENTION DENTISTRY THE PENN COMPOSITE STENT SCD Case Study MINIMAL INTERVENTION DENTISTRY THE PENN COMPOSITE STENT The Penn Composite Stent is a treatment technique following the principles of Minimal Intervention Dentistry. What is Minimal Intervention

More information

Contouring vs. Orthodontics. Contouring to Eliminate Fractures and Enhance Proportions

Contouring vs. Orthodontics. Contouring to Eliminate Fractures and Enhance Proportions Contouring vs. Orthodontics Photo 1 Maxillary central incisors are overlapped. Patient chose rapid tooth movement instead of contouring. Photo 2 Maxillary central incisors after six months of orthodontic

More information

Two approaches, one goal: Digital expertise versus manual skill in the fabrication of ceramic veneers

Two approaches, one goal: Digital expertise versus manual skill in the fabrication of ceramic veneers C L I N I C A L Two approaches, one goal: Digital expertise versus manual skill in the fabrication of ceramic veneers Eduardo Mahn 1 Recently developed restorative materials have opened up a myriad of

More information

Primary Teeth Chapter 18. Dental Anatomy 2016

Primary Teeth Chapter 18. Dental Anatomy 2016 Primary Teeth Chapter 18 Dental Anatomy 2016 Primary Teeth - Introduction Synonyms deciduous teeth, baby teeth, temporary teeth, milk teeth. There are 20 primary teeth, designated as A thru T in the Universal

More information

As a dental ceramist, the trial of new or unfamiliar ceramic materials can be a time

As a dental ceramist, the trial of new or unfamiliar ceramic materials can be a time 1/2 point CDT documented scientific credit. See Page 37 Great Results, Firing After Firing By Frank Haeuser, CDT As a dental ceramist, the trial of new or unfamiliar ceramic materials can be a time consuming

More information

Patient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1.

Patient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1. Patient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1. A longitudinal root fracture was suspected and confirmed when the

More information

Lava Ceram. Overlay Porcelain for Lava Frameworks

Lava Ceram. Overlay Porcelain for Lava Frameworks Lava Ceram Overlay Porcelain for Lava Frameworks An excellent match for your high standards Developed as a part of the Lava system, Lava Ceram Overlay Porcelain is the choice for restorations that are

More information

Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report

Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report Case report ISSN 2234-7658 (print) / ISSN 2234-7666 (online) Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report Soon-Kong Hwang, Jung-Hong Ha, Myoung-

More information

GENERAL DENTISTRY & COMPREHENSIVE CARE

GENERAL DENTISTRY & COMPREHENSIVE CARE GENERAL DENTISTRY & COMPREHENSIVE CARE Case Studies Volume 1 375 East Main Street East Islip, NY 11730 631-581-5121 www.drforlano.com Thank you for considering us for your general dental needs. All phases

More information

Continually Fluoride Releasing Aesthetic Dental Restorative Material

Continually Fluoride Releasing Aesthetic Dental Restorative Material Continually Fluoride Releasing Aesthetic Dental Restorative Material Research is our best product Image provided by Dr. Sushil Koirala BEAUTIFIL II More than just filling BEAUTIFIL II stands out for its

More information

PG Cert Contemporary Tooth Preparations and Operative Dentistry

PG Cert Contemporary Tooth Preparations and Operative Dentistry PG Cert Contemporary Tooth Preparations and Operative Dentistry www.dominic-hassall-training.co.uk DAY 1 Rules and tools in smile design/aesthetic planning The aesthetic assessment sheet/check list Facially

More information

SR Vivodent S PE S DCL

SR Vivodent S PE S DCL SR Vivodent S PE S DCL The exceptionally esthetic tooth for sophisticated needs Simply brilliant! Two tooth lines one esthetic result SR Vivodent S PE S DCL SR Orthotyp S PE S DCL Nature creates the most

More information

Class II. Bilateral Cleft Lip and Palate. Clinician: Dr. Mike Mayhew, Boone, NC Patient: R.S. Cleft Lip and Palate.

Class II. Bilateral Cleft Lip and Palate. Clinician: Dr. Mike Mayhew, Boone, NC Patient: R.S. Cleft Lip and Palate. Bilateral Cleft Lip and Palate Clinician: Dr. Mike Mayhew, Boone, NC Patient: R.S. Class II Cleft Lip and Palate Pretreatment Diagnosis Class II dolichofacial female, age 22 years 11 months, presented

More information

Aesthetic Closure Of Maxillary And Mandibular Anterior Spaces Using Direct Composite Resin Build-Ups: A Case Report

Aesthetic Closure Of Maxillary And Mandibular Anterior Spaces Using Direct Composite Resin Build-Ups: A Case Report 10.1515/bjdm-2016-0019 BALKAN JOURNAL OF DENTAL MEDICINE ISSN 2335-0245 STOMATOLOGICAL SOCIETY Aesthetic Closure Of Maxillary And Mandibular Anterior Spaces Using Direct Composite Resin Build-Ups: A Case

More information

MINIMAL PREPARATION VENEER CASE SELECTION PROCESS

MINIMAL PREPARATION VENEER CASE SELECTION PROCESS MINIMAL PREPARATION VENEER CASE SELECTION PROCESS Fondriest J, Roberts M. Prepless Veneer Case Selection. Inside Dentistry. March 2010; 6: 36 43. by James Fondriest, DDS; Matt Roberts, CDT No- or minimal-preparation

More information

Rehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report

Rehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report Research & Reviews: Journal of Dental Sciences Rehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report Priyanka Prakash* Division of Periodontology, Department of Dental

More information

Screw-retained implant-supported restoration in the edentulous maxilla

Screw-retained implant-supported restoration in the edentulous maxilla Screw-retained implant-supported restoration in the edentulous maxilla A working document for the production of a milled zirconium dioxide framework Authors: Dr Octavian Fagaras & Milos Miladinov, Romania

More information

Posterior Adhesive Dentistry

Posterior Adhesive Dentistry Posterior Adhesive Dentistry Stephen D. Poss DDS Michigan Dental The following pages contain a summary of information designed to assist you with the armamentarium, preparation, and cementation of anterior

More information

Improved materials and instruments help us to produce restorations

Improved materials and instruments help us to produce restorations VIEWPOINT Creating Natural-Looking Composite Restorations Using Different Layering Techniques, Materials and the Erbium YAG Laser Daniel H. Ward, DDS Introduction Improved materials and instruments help

More information

Morphology of an Anatomic Crown. By: Assistant Professor Dr. Baydaa Ali Al - Rawi

Morphology of an Anatomic Crown. By: Assistant Professor Dr. Baydaa Ali Al - Rawi Morphology of an Anatomic Crown By: Assistant Professor Dr. Baydaa Ali Al - Rawi October 4, 2009 Elevated landmarks Depressed landmarks A) Elevated landmarks : 1. Dental lobe : is one of the primary centers

More information

Psychological Impact of Communication

Psychological Impact of Communication Psychological Impact of Communication Patient is a 47 year old female was unhappy with her smile and self conscience of her appearance. She is missing teeth, which was impinging during mastication. The

More information

Amaris. You want outstanding esthetic restorations with the WOW-EFFECT

Amaris. You want outstanding esthetic restorations with the WOW-EFFECT The Composite For Simplified Esthetics The Simplified Esthetic Concept You want outstanding esthetic restorations with the WOW-EFFECT You do not have the time to work on a patient for hours You do not

More information

Mastering Minimally Invasive Esthetics A Step-by-Step Guide

Mastering Minimally Invasive Esthetics A Step-by-Step Guide Mastering Minimally Invasive Esthetics A Step-by-Step Guide Let s Get Started! You are about to transform your patient s smile by using A.R.T. (Additive-Reductive Template), a minimally invasive approach

More information

UTML Ultra Translucent Multi-Layered STML Super Translucent Multi-Layered ML Multi-Layered HTHigh-Translucent TECHNICAL GUIDE

UTML Ultra Translucent Multi-Layered STML Super Translucent Multi-Layered ML Multi-Layered HTHigh-Translucent TECHNICAL GUIDE Ultra Translucent Multi-Layered STML Super Translucent Multi-Layered ML Multi-Layered HTHigh-Translucent TECHNICAL GUIDE High Esthetic Potential for Zirconia Dental Restorations * New series which features

More information

أ.م. هدى عباس عبد اهلل CROWN AND BRIDGE جامعة تكريت كلية. Lec. (2) طب االسنان

أ.م. هدى عباس عبد اهلل CROWN AND BRIDGE جامعة تكريت كلية. Lec. (2) طب االسنان Lec. (2) CROWN AND BRIDGE أ.م. هدى عباس عبد اهلل Patient selection and examination A thorough diagnosis must first be made of the patient's dental condition, considering both hard and soft tissues. this

More information

IPS. Empress Esthetic. NEWS from the IPS Empress Original System

IPS. Empress Esthetic. NEWS from the IPS Empress Original System IPS Empress Esthetic NEWS from the IPS Empress Original System A tried-and-tested system with NEW aesthetic properties The IPS Empress pressed ceramic system, which has been clinically proven for more

More information

Attachment G. Orthodontic Criteria Index Form Comprehensive D8080. ABBREVIATIONS CRITERIA for Permanent Dentition YES NO

Attachment G. Orthodontic Criteria Index Form Comprehensive D8080. ABBREVIATIONS CRITERIA for Permanent Dentition YES NO First Review IL HFS Dental Program Models Second Review Ortho cad Attachment G Orthodontic Criteria Index Form Comprehensive D8080 Ceph Film X-Rays Photos Narrative Patient Name: DOB: ABBREVIATIONS CRITERIA

More information

No Prep And Minimal Prep Veneers

No Prep And Minimal Prep Veneers Ajay Juneja No Prep And Minimal Prep Veneers 12 Apr 2016 It has been now an established entity for more then two decades since No Preparation Ceramic Veneers are being used. The very ideology of preserving

More information

GUM COLORS INSTRUCTIONS FOR USE

GUM COLORS INSTRUCTIONS FOR USE GUM COLORS INSTRUCTIONS FOR USE The natural appearance of gingival parts is very important, especially when producing high-quality telescopic and implant supported supra constructions. The CERAMAGE GUM

More information

Venus Pearl composite Beauty beyond aesthetics

Venus Pearl composite Beauty beyond aesthetics Venus Pearl composite Beauty beyond aesthetics heraeusdental.com Beauty beyond aesthetics. Benefi ts beyond the norm experience the difference of Venus Pearl composite. A new standard of care Heraeus Dental

More information

I N F O R M A T I O N F O R D E N T I S T S. IPS e.max one system for every indication

I N F O R M A T I O N F O R D E N T I S T S. IPS e.max one system for every indication I N F O R M A T I O N F O R D E N T I S T S IPS e.max one system for every indication all ceramic all you all need you IPS e.max one system for every indication Dental patients of today are looking for

More information

The Tooth Zone Removable Prothestics Teeth Ivoclar Vivadent Page 2-3 Masterdent Page 4 Kulzer Page 5-6 Degudent Page

The Tooth Zone Removable Prothestics Teeth Ivoclar Vivadent Page 2-3 Masterdent Page 4 Kulzer Page 5-6 Degudent Page The Tooth Zone Removable Prothestics Teeth Ivoclar Vivadent Page 2-3 Masterdent Page 4 Kulzer Page 5-6 Degudent Page 4 lab@henryschein.co.uk 0800 032 8018 henryschein.co.uk THE TOOTH ZONE BULK! DEAL BUY

More information